An interventional study of Moderate-Resource Implementation Strategy and High-Resource Implementation Strategy in Bronchiolitis Acute, sponsored by Seattle Children's Hospital. Recruiting at 62 sites in 2 countries. Open to participants aged 0 Months to 24 Months. Per ClinicalTrials.gov, last updated 2026-09-10.
Sponsored by Seattle Children's Hospital · Not applicable, Interventional, and Treatment
Although automatic follow-up is a nearly universal practice, research has shown that these visits are often unnecessary after hospitalizations caused by bronchiolitis. Despite endorsement by national pediatric authorities, robust evidence, and family enthusiasm for as-needed (PRN) follow-up, it remains substantially underutilized for children hospitalized for bronchiolitis.
The goal of I-DECIDE is to compare the effects of two multi-component implementation strategies, both of which aim to (a) increase PRN follow-up prescribing by hospitalists (physicians who care for hospitalized children) and (b) decrease unnecessary follow-up visit attendance by families.
289 studies on the registry are indexed under Bronchiolitis; 51 are open to participants now.
This study's planned enrollment of 2,700 is above the median of 100 across 195 interventional studies indexed under Bronchiolitis.
Browse Bronchiolitis studies →Seattle Children's Hospital is the lead sponsor of 215 studies on the registry; 44 are open to participants now.
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Exclusion Criteria:
Other: Moderate-Resource Implementation Strategy
Other: High-Resource Implementation Strategy
Concurrent control hospitals will collect data without any implementation strategy deployment.
The moderate-resource implementation strategy includes educational outreach (including family-facing materials to support follow-up decision making), audit and feedback (review of clinician performance, captured in a structured report), and materials for clinical decision support.
The high-resource implementation strategy includes all of the moderate resource components, plus two forms of external facilitation: small-group facilitation and expert clinical decision support coach-led facilitation. In total, the high-resource implementation strategy includes educational outreach (including family-facing materials to support follow-up decision-making), audit and feedback (review of clinician performance, captured in a structured report), materials for clinical decision support, small-group facilitation and expert clinical decision support coach-led facilitation.
Adoption
Proportion of participants who are prescribed PRN follow-up
Time frame: Within 7 days of hospital discharge
Sustainment
Proportion of participants who attend a follow-up visit
Time frame: Within 7 days of hospital discharge
Plan to share: Yes — Upon completion of the trial and after all planned analyses have been finalized, the research team will develop a de-identified public-use dataset. This dataset will include key variables necessary to replicate the primary analyses, along with accompanying documentation, such as data dictionaries and coding manuals. All personally identifiable information and protected health information will be removed prior to dataset release.
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